SAFETY INSPECTION REPORT – UNITS

"*" indicates required fields

DD slash MM slash YYYY
TECHNICIAN
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY

SAFETY INSPECTION REPORT

A "Y" in the appropiate box will signify that the service has been carried out and or that the inspection is satisfactory.
A "X" in the appropiate box will signify that the inspection shows a defect requiring immediate attention.
A M in the appropiate box will signify a fault which does not require immediate attention at the time.

INSIDE CAB - DOE NO.

EXTERIOR - DOE NO.

GROUND LEVEL - DOE NO.

UNDER/ALONGSIDE VEHICLE - DOE NO.

ENGINE COMPARTMENT - DOE NO.

PTO

BRAKES - DOE NO.

BRAKE PERFORMANCE - DOE NO.


TYRE TREAD DEPTHS

TYRE PRESSURE

LINING THICKNESS

VCADS

X1
X2
=Y

TACHOGRAPH

DEFECT REPORT & RECTIFICATION


DD slash MM slash YYYY
DD slash MM slash YYYY
By signing I consider that the above defects have been rectified satisfactory.
This field is for validation purposes and should be left unchanged.

© Copyright - James Lynch & Sons (Transport)